PDF(Pubmed)
Abstract：
Even though infected vasitis is rarely reported in the literature, there are other diagnoses that share the same clinical signs, including testicular torsion, epididymo-orchitis, epididymitis, trauma, and incarcerated hernia. A 27-year-old man was brought to the emergency department by his brother with right inguinal and testicular pain for one day. The history was not significant with fever, lower urinary tract symptoms, urethral discharge, change in bowel habits, previous history of inguinal swelling, or surgical intervention. On presentation, the patient was vitally stable, and right infra-inguinal and inguinal vas deferens were tender and swollen; however, both testes and epididymis were normal, and no urethral discharge. Vasitis, or inflammation of the vas deferens, is an uncommon illness that Chan PT and Schlegel classified as either asymptomatic vasitis nodosa or severely painful infectious vasitis. Acute infective vasitis is a really uncommon illness, with only a few occurrences documented in the literature. However, the retrograde transmission of urinary pathogens such as Escherichia coli and Haemophilus influenza is thought to cause acute vasitis. Because of its rarity and ambiguous imaging findings, diagnosing vasitis can be difficult. Epididymitis, orchitis, and testicular torsion can all be ruled out with ultrasound and duplex Doppler screening. Inguinal hernia is difficult to distinguish from vasitis with ultrasound; hence, CT and MRI are more commonly used to confirm the diagnosis. Since this is the first occurrence in our city that we are aware of, it was reported. A few cases from Saudi Arabia have also been documented, and by doing so, we may raise clinicians\' awareness of this disease and ensure that they can treat patients without making an incorrect diagnosis.
摘要：
尽管在文献中很少报道感染性血管炎，还有其他诊断具有相同的临床症状，包括睾丸扭转,附睾-睾丸炎,附睾炎,创伤,和嵌顿的疝气.一名27岁的男子被他的兄弟带到急诊科，右腹股沟和睾丸疼痛一天。病史无明显发热，下尿路症状,尿道分泌物,排便习惯的改变,既往有腹股沟肿胀史,或手术干预。在介绍时，病人非常稳定，右腹股沟下和腹股沟输精管触痛和肿胀；然而，睾丸和附睾都正常,没有尿道分泌物.瓦西蒂斯,或输精管发炎，是一种罕见的疾病，ChanPT和Schlegel将其归类为无症状性结节性血管炎或严重疼痛的感染性血管炎。急性感染性血管炎是一种非常罕见的疾病，文献中只有少数记录。然而,如大肠杆菌和流感嗜血杆菌等泌尿病原体的逆行传播被认为会引起急性血管炎。由于其稀有和模糊的成像发现，诊断血管炎可能很困难。附睾炎,睾丸炎,和睾丸扭转都可以通过超声和双工多普勒筛查排除。超声很难将腹股沟疝与血管炎区分开来；因此，CT和MRI更常用于诊断。由于这是我们所知道的城市中的第一次，据报道。沙特阿拉伯的一些案件也被记录在案，通过这样做，我们可能会提高临床医生对这种疾病的认识，并确保他们能够在不做出不正确诊断的情况下治疗患者。
